Information Needs in Percutaneous Coronary Artery Intervention: Validation and Reliability Analysis of NPCI-10 Item Scale

Abstract

Introduction: Percutaneous coronary intervention (PCI) is a nonsurgical procedure used in the treatment of coronary heart disease.Purpose: The purpose of this study was to validate a scale created in order to assess the importance and fulfillment of information needs in patients after PCI. Methods: A 10-item scale was created by the researchers to explore the level of information needs and the level of fulfillment of these needs. The total scores have a possible range of 10 to 40 with higher scores indicating higher importance and fulfillment. The validation of the questionnaire included face and content validity, construct validity, internal consistency, repeatability, and discriminant validity.Results: Forty patients contributed to this validation. Mean and median scores for each question separately and also overall scores suggest that patients consider the need to be informed very important and that it was fulfilled to a very high degree (mean scores 39.5 and 39.3, respectively). All questions were found to be significantly correlated with the overall scores (rho > 0.3) meaning strong construct validity. Cronbach's α coefficients were high (>0.7) indicating great consistency. Both total scores had great repeatability, which suggests a high degree of reliability of the participants' responses (ICCs > 0.8). Regarding discriminant validity, a statistically significant association was observed only between marital status and the degree of fulfillment of the need to be informed (p = 0.036). More specifically, divorced or widowed patients had a lower degree of fulfillment than married patients (mean 38.6 vs. 39.6). Conclusion:It is a reliable instrument that will help clinicians who are at close contact with patients after PCI to gain a better understanding of their needs.

Determinants of information needs in patients with coronary artery disease receiving cardiac rehabilitation: a prospective observational study

“…Although research on specific information needs in patients referred for CR is limited, recent studies have analysed general information needs among patients with MI, PCI or CABG. 30 31 In accordance with our findings, information needs were generally high with a decline over time, highlighting the need for structuring of educational programmes based on individual and evolving information needs.…”

El papel de enfermería en la detección precoz y prevención de la trombosis del stent en pacientes sometidos a angioplastia coronaria

“…La escasa evidencia científica actual que encontramos respecto a la educación sanitaria a pacientes que se les realiza una angioplastia coronaria se basa en revisiones bibliográficas y de ella podemos extraer varias conclusiones. [11][12][13][14] La educación realizada puede tener efectos beneficiosos en la adquisición inmediata de conocimientos pero no se sostienen en el tiempo, por lo que una educación continuada, tanto desde la consulta del cardiólogo como desde enfermería y medicina de atención primaria, debería tener efectos a largo plazo; y es que, aunque se intenta aportar los conocimientos necesarios a los pacientes desde el ingreso hospitalario, en muchas ocasiones el tiempo es limitado y los factores de estrés que presenta el paciente en ese momento hacen más dificultosa la asimilación de los cambios a seguir. Por lo tanto, una vía a desarrollar en investigaciones futuras podría ser la relación entre un mayor conocimiento de la enfermedad y la importancia del seguimiento del tratamiento por parte de los pacientes, relacionada con la tasa de reingresos hospitalarios y complicaciones derivadas del mismo tratamiento.…”